Centers for Disease Control and Prevention

National Center for Immunization and Respiratory Diseases

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Recommendations from the Combined Immunization 

Schedule WG for the 2024 Immunization Schedules for 

Children/Adolescents and Adults 

Sybil Cineas, MD, FAAP, FACP (ACIP Combined Immunization WG Chair)

A. Patricia Wodi, MD (CDC Co-Lead)

Neil Murthy, MD, MPH, MSJ (CDC Co-Lead)

ACIP Meeting

October 26, 2023
Combined Immunization Schedules Work Group

 The Combined Immunization 

Schedule WG updates the 

immunization schedules annually.

– Child and adolescent schedule 

(age birth through 18 years)

– Adult schedule (age 19 years or older)

 The schedules are primarily 

designed to be a tool for healthcare 

providers to ensure individuals get 

all the vaccines they need when 

they need them. 

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Immunization Schedules | CDC

www.cdc.gov/vaccines/schedules/index.html
 The goal of the Combined Immunization Schedule WG is to better harmonize 

the child/adolescent and adult schedules.

 New policies are not established in the proposed schedules.

–Annual schedules reflect recommendations already approved by ACIP

Combined Immunization Schedules Work Group

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 ACIP approval of the proposed schedules is necessary prior to publication

Reason Topic is Being Presented to ACIP

Child/Adolescent Schedule Both Schedules Adult Schedule

• American Academy of Pediatrics 

(AAP)

• National Association of Pediatric 

Nurse Practitioners (NAPNAP)

• American Academy of Family 

Physicians (AAFP)

• American Academy of Physician 

Associates (AAPA)

• American College of Obstetricians 

and Gynecologists (ACOG)

• American College of NurseMidwives (ACNM)

• American College of Physicians (ACP)

• Society for Healthcare Epidemiology 

of America (SHEA)

• American Pharmacists Association 

(APhA)

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Traditional Publication Timeline

October November December January February

ACIP vote approves the 

immunization schedules

Professional organizations 

approve schedules

Draft and clear MMWR reports (both 

schedules) and Annals of Internal 

Medicine report (adult schedule only)

Publish Schedules (web, app, pdf),

MMWR Notice to Readers, &

Annals of Internal Medicine 

report published

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 Insurance reimbursement

 The ability of certain health care providers to administer 

immunizations

– Some states link pharmacists’ immunization authority to the schedule

Health care provider knowledge and practices related to 

vaccine recommendations

Impacts of Timeliness of Schedule Publication

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2024 immunization schedules: Publication Timeline

October November December January February

ACIP vote approves the 

immunization schedules

Professional 

organizations 

approve schedules

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Publish Schedules

(web, app, pdf)

Publish MMWR Notice to 

Readers, & Annals of Internal 

Medicine report published
ACIP Members

Sybil Cineas (ACIP WG Chair)

Veronica McNally

Matthew Daley

Liaison Representatives

John Epling (AAFP) Mary-Margaret Fill (CSTE)

Sarah Coles (AAFP) Chad Rittle (ANA)

Rhoda Sperling (ACOG) William Schafner (NFID)

Holly Fontenot (SAHM) Robert Hopkins (NFID)

Amy Middleman (SAHM) Ken Schmader (AGS)

Sandra Fryhofer (ACP/AMA) Patsy Stinchfield (NAPNAP)

Sarah McQueen (AAPA) Preeti Mehrotra (SHEA)

Marie-Michele Leger (AAPA) Pia Pannaraj (AAP)

Caitlin Newhouse (AIM) Kelly Goode (APhA)

Ex Officios

David Kim (OASH)

Susan Farrall (OASH)

Jane Kim (DVA)

Uzo Chukwuma (IHS)

Consultants

Hank Bernstein

Kevin Ault 

Peter Szilagyi

Diane Peterson

Carolyn Bridges

Karen Ketner

Kathleen Harriman

Litjen Tan

Robert Hopkins

Susan Lett

Combined Immunization Schedule Work Group

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CDC Co-Leads

A. Patricia Wodi

Neil Murthy
 ACIP Combined Immunization Work Group — CDC Contributors:

– Noele Nelson

– Paul Gastanaduy

– Samuel Crowe

– Sarah Kidd

– Sarah Schillie

– Susan Goldstein

– Susan Hariri

– Suzanne Johnson-DeLeon

– Tara Anderson

– Tami Skoff

– Tatiana Lanzieri

Acknowledgements

– Akiko Wilson

– Andrew Kroger

– Amadea Britton 

– David Sugerman 

– Donna Williams

– Erin Conners

– Hilda Razzaghi

– Holly Hill

– Jacqueline Tate

– Janell Routh

– Jefferson Jones 

– Jennifer Collins

– JoEllen Wolicki

– Katherine Fleming-Dutra

– Lakshmi Panagiotakopoulos

– Lauri Markowitz

– Lisa Grohskopf

– Lucy McNamara

– Mary Chamberland

– Megan Wallace

– Michael Melgar 

– Michelle Hughes

– Miwako Kobayashi

– Mona Marin

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 The use of vaccine trade names is for identification purposes only and 

does not imply endorsement by the Centers for Disease Control and 

Prevention.

 The 2024 schedules presented in the following slides are drafts and are 

therefore subject to change based on ACIP’s discussion and vote.

Disclaimer

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 Harmonization between the child/adolescent and adult schedules

 Edits to all tables

 Content changes of the notes

 Content changes to the appendix listing contraindications and precautions

 Discussion and Vote

Outline

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